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Missouri rates for HCPCS 87101

Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail

Facilitymedian $13 · 10th–90th $7–$600%10%10th90th$13Professionalmedian $7 · 10th–90th $4–$210%10%10th90th$7$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $13.49 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $24.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $26.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $6.03 / $19.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $11.75 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $14.45 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $7.41 / $19.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $13.49 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.68 / $9.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $7.76 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.68 / $9.33